Healthcare Practice
Doyle & Nelson currently represents hospitals, private medical and psychological practices, substance abuse and mental health agencies, long-term care and assisted-living facilities in all aspects of development, finance, regulation and operations. MaineCare and Medicare Recoupment Actions As the government grapples with rising health care costs, health care providers are coming under increasing scrutiny, including MaineCare and Medicare recoupment audits. In addition to inflicting financial devastation, civil judgments for recoupment can lead to severe collateral consequences, such as license revocations, exclusion from government health care programs and criminal prosecution for health care fraud. When threatened with these recoupment investigations, health care providers should enlist qualified, experienced attorneys as early in the process as possible. Doyle & Nelson has a proven track record of successfully guiding health care providers through every stage of the MaineCare/Medicare recoupment process, responding to audits, as well as challenging findings in administrative and judicial proceedings. Whether through negotiation or litigation, we have saved our clients hundreds of thousands of dollars in penalties. Regulatory Compliance Regulatory compliance for health care providers is a complex web of federal and state law. Doyle & Nelson prides itself on providing practical solutions to these problems. We help clients reach their compliance goals in areas such as Medicare, EMTALA and HIPAA through the design, implementation and review of compliance plans, including the use of internal monitoring and investigations. Licensure, Certification and Accreditation Doyle & Nelson represents health care providers in all aspects of licensure, certification and accreditation, including state licensing, Medicare / Medicaid certification, JCAHO and NCQA accreditation matters. |
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Client Profile: Mayo Regional Hospital
Doyle & Nelson has represented Mayo Regional Hospital since 1995. Mayo is a non-profit, 25-bed critical access hospital located in Dover-Foxcroft, the county seat of Piscataquis County. The hospital opened in 1978 and is governed by Hospital Administrative District 4, which was established by 12 towns to serve the healthcare needs of residents in a three-county area of rural central Maine.
For more information about Mayo regional Hospital, visit www.mayohospital.com
Money-Saving Financing Options for Healthcare Entities We have been able to save many of our tax-exempt healthcare clients significant dollars by financing and refinancing their capital projects through the issuance of tax-exempt bonds by the Maine Health and Higher Educational Facilities Authority (MHHEFA). MHHEFA is authorized by Maine statute to act as an intermediary for tax-exempt bonds to finance or refinance capital projects conducted by nonprofit, tax-exempt organizations that qualify under the definition of healthcare facility contained in the MHHEFA statute. In recent years, MHHEFA has been able to substantially reduce the issuance costs for bonds, particularly for smaller bond issues, by issuing bonds in a pools several times each year. Although the rates on tax-exempt bonds will change with other loan rates in different economic environments, the rates on tax-exempt bonds are fixed and are always some of the lowest available in the marketplace. Each pool participant may also choose its own maturity date for the bonds it issues as part of the larger pool. A good example of the significant savings is our residential care client refinanced $2.3 million of existing traditional mortgage debt and borrowed an additional $1.3 million to fund current capital projects. After the bond issue through MHHEFA had closed, our client's annual debt service on the $3.6 million in bonds was $250,000.00 less than it had been paying on its existing $2.3 million mortgage debt.
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